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SGBA DIVERSIFIED INC NPI 1538669163


NPI Information

NPI: 1538669163
Provider Name: SGBA DIVERSIFIED INC

Doing Business As: SAN DIEGO MEDICAL SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
5735 KEARNY VILLA RD STE 101
SAN DIEGO, CA
ZIP 92123
Phone: (619) 644-2170
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SGBA DIVERSIFIED INC is a durable medical equipment medical supplies in San Diego, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SGBA DIVERSIFIED INC NPI is 1538669163. The provider is registered as an organization entity type.
The provider Is Doing Business As San Diego Medical Supply.

The provider's business location address is:

5735 KEARNY VILLA RD STE 101
SAN DIEGO, CA
ZIP 92123-138
Phone: (619) 644-2170
Fax: (619) 644-2174

The provider's authorized official is Stephen J Griswold .
The authorized official title is President and has the following contact phone number (619) 644-2170.

The enumeration date for this NPI number is 2/20/2018 and was last updated on 2/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies97888CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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